CMS Price Transparency Data

Blood test, liver function panel

Facility: Santa Monica - UCLA Med Ctr & Orthopaedic Hospital

Billing Code: 80076 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80076
  • Insurance Median: $9
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.10x Medicare
The contracted insurance negotiated median rate for a Blood test, liver function panel at Santa Monica - UCLA Med Ctr & Orthopaedic Hospital is $9. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $8.17, this hospital’s rate is 1.10x the Medicare baseline. Located in 1250 16Th Street, Santa Monica, CA.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$9

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$8.17

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $8.17 (100%)
Insurance Median: $9 (110%)
Ins. Median: $9 (110% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $8.17 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
La Care Medi-Cal Hmo $6 73%
Aetna $8 98%
Blue Shield $8 98%
La Care Dsnp $8 98%
Medicare (plans) $8 - $9 98%
Monarch $8 98%
St. Jude $8 98%
Triwest Healthcare Alliance $8 98%
UnitedHealthcare $8 - $23 98%
Providence Healthcare $9 110%
Central Health Plan $10 122%
Healthsmart $10 122%
La Care Covered Ca $11 135%
Scan $11 135%
Blue Cross Blue Shield $12 - $14 147%
Centivo $20 245%
Health Plan Of Nevada Commercial $23 282%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1250 16Th Street, Santa Monica, CA 90404
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals